Jerry N King, MD is a 
Surgery physician based in Palos Park, Illinois. Jerry N King is licensed to practice in Illinois (license number 036-050984) and his current practice location is 12731 S 83rd Ct, Palos Park, Illinois. He can be reached at his office (for appointments etc.) via phone at 
(708) 361-0020.
NPI number for Jerry N King is 1255506671 and his current mailing address is 12731 S 83rd Ct, Palos Park, Illinois. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255506671.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Jerry N King | 
|---|
| Gender | Male | 
|---|
| Speciality | Surgery | 
|---|
| Location | 12731 S 83rd Ct, Palos Park, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1255506671
 - Provider Enumeration Date: 04/27/2008
 - Last Update Date: 04/27/2008
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Jerry N King such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1255506671 | NPI | - | NPPES | 
| 036-050984 | Other | IL | ILLINOIS STATE MEDICAL LICENSE | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 208600000X | Surgery  | 036-050984 (Illinois) | Primary | 
		
		
			
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerry N King is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Jerry N King, MD 12731 S 83rd Ct, Palos Park, IL 60464-2026 Ph: () - | Jerry N King, MD 12731 S 83rd Ct, Palos Park, IL 60464-2026 Ph: (708) 361-0020 | 
		
		 
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